Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Nguyen, Duc T. ; Teeter, Larry D. ; Graves, Julie ; Graviss, Edward A. ;
Nguyen, Duc T. ; Teeter, Larry D. ; Graves, Julie ; Graviss, Edward A. ; Less -
Description:
Interferon-γ release assays (IGRAs) are the preferred diagnostic test for tuberculosis (TB) infection in at-risk populations in developed countries. However, IGRAs have high false-negative rates in patients with TB disease. Population-based studies assessing the factors associated with negative IGRA results in TB patients have not been performed. Using statewide TB surveillance data of culture-confirmed TB patients in Texas, USA, during 2013-2015, we describe the patient characteristics and treatment outcomes associated with false-negative IGRA results. Among 2,854 TB patients, 1,527 (53.5%) had an IGRA result; 97.4% (1,487/1,527) of those had a positive (87.7%) or negative (12.3%) result. Older age, HIV co-infection, non-Hispanic white race/ethnicity, and being tested with T-SPOT.TB were associated with negative IGRA results. TB patients with negative IGRA results had a higher mortality, potentially due to delayed treatment. Healthcare providers should consider these risk factors when making decisions for patients with suspected TB and negative IGRA results and potentially provide treatment.
Subject:
[+]
Adult
Aged
Female
History, 21st Century
Humans
Interferon-gamma Release Tests
Male
Middle Aged
Mycobacterium Tuberculosis
Odds Ratio
Proportional Hazards Models
Research
Tuberculosis/diagnosis
Tuberculosis/epidemiology
Tuberculosis/history

Source:
Emerg Infect Dis. 24(3):534-540. ;
Pubmed ID:
29460756
Pubmed Central ID:
PMC5823348
Document Type:
Journal Article ;
Place as Subject:
Texas ;
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:07a9545fe54d64d34ddcc56eface95867896a85ab7e689ab01c65efe2fe2c9b2
File Type:

Supporting Files

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  	17-1633-F2.jpg	jpeg
  	17-1633-Techapp-s1.pdf	pdf
  	17-1633.nxml	xml

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